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1608 Walnut St. Suite 1701a Philadelphia PA 19103-5415 | |
(516) 287-1120 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 1608 Walnut St., Philadelphia, Pennsylvania |
Authorized Official Name and Position | Raffi Barsoumian (CEO) |
Authorized Official Contact | 2158747006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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681 Orangeburgh Rd River Vale NJ 07675-6404 Ph: (516) 287-1120 | 1608 Walnut St. Suite 1701a Philadelphia PA 19103-5415 Ph: (516) 287-1120 |
NPI Number | 1720727027 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 6709269608 |
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Medicare Enrollment ID | O20240208004565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720727027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Raffi Barsoumian |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1932277134 PECOS PAC ID: 1355443664 Enrollment ID: I20220810000259 |
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